City Council Administrative Aides 2020-2021

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City Council Administrative Aides 2020-2021
City Council Administrative Aides

                       2020-2021
   Employee Benefits Guide

    An overview of the wide array of benefits provided by Brian Clendening, to
           help you enjoy increased well-being and financial security.
         City Council Administrative Aides Employee Benefit Guide
City Council Administrative Aides 2020-2021
As an employee at City Council Administrative
Aides enjoying your work and making valuable
contributions to business are equally vital. The
health, satisfaction and security of you and your
family are im portant to your well-being and
ultimately, achieving the goals of our organization.

For the 2019 - 2020 plan year, City Council Administrative Aides has
worked hard to offer a competitive total rewards package that includes
valuable and competitive benefits plans. These programs reflect our
com m itm ent to keeping our staff healthy and secure. W e understand that
your situation is
unique, and City Council Administrative Aides is offering an overall benefits
package with many possible choices - one that can be shaped and m olded by
you, to fit your needs.

This enrollment book let is a summary description of your City Council
Administrative Aides benefit plans. If there is a discrepancy between these
summaries and the written legal plan documents, the plan documents shall
prevail. This book let and plan summaries do not constitute a contract of
employment.
W e hope this enrollment booklet, along with our additional communication
and decision-making tools, will help you make the best health care choices for
City Council Administrative Aides 2020-2021
CONTENT

                                           Virtual Visits                           20
 Overview of Benefits                 04

 Medical Benefits                     06   Healthy Pregnancy                        21

 Medical Benefit Details              07   Well On Target                           22

 Dental Benefits                      09   Adult Wellness Guidelines                23

 Vision Benefits                      11   Contact Page                             24

 Basic Life/AD&D and Voluntary Life   13

 Short-term Disability                14

 Voluntary Long-term Disability       15

 Accident                             16

 Health Savings Account (HSA)         17

 Blue 365                             18
 Blue Access for Members              19

       3
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City Council Administrative Aides                                  Benefits Guide
City Council Administrative Aides 2020-2021
OVERVIEW OF BENEFITS

C H A N G E S A N D Q UA L I F Y I N G E V E N T S

        WHEN COVERAGE BEGINS AND ENDS
        For all health and welfare benefits ( not including 401K), your coverage would begin
        the 1st of the m onth following date of hire. If your date of hire is on the 1st, your
        benefits begin that day. Your coverage under the benefits plans will end at the end of
        the month if you no longer m eet the eligibility requirements, your contributions are
        discontinued, or the Group Insurance Policy is terminated.

        Q UA L I F Y I N G E V E N T S
        Eligible employees may enroll or make changes to their benefits elections during the
        annual open enrollment period. As with most benefits, once you elect an option you
        are bound to that choice for the entire plan year unless you experience a “Qualifying
        Event”. These may include, but are not limited to:

              •    Changes in employment status
              •    Changes in legal marital status
              •    Changes in number of dependents
              •    Taking an unpaid leave of absence
              •    Dependent satisfies or ceases to satisfy eligibility requirement
              •    Family Medical Leave Act (FMLA) leave
              •    A COBRA-qualifying event
              •    Entitlement to Medicare or Medicaid
              •    A change in the place of residence of the employee, resulting in the
                   current carrier not being available

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City Council Administrative Aides                                                     Benefits Guide
City Council Administrative Aides 2020-2021
OVERVIEW OF BENEFITS

As a full-time City Council Administrative Aide, you are provided an array of
benefits that can help you enjoy increased well-being, deal with an
unexpected illness or accident, build and protect your financial security,
balance your personal and professional life and meet every day needs. These
benefits are affordable, comprehensive and competitive.

The table below summarizes the benefits available to eligible staff and their
dependents. These benefits are described in greater detail in this booklet.

                            B E N E F I T S AT - A - G L A N C E
                      Coverage                             Carrier

                       Medical                      BlueCross BlueShield
                        Dental                            Guardian
                        Vision                              Avesis
                      Basic Life                          Guardian
                   Voluntary Life                         Guardian
               Short-Term Disability                      Guardian
               Voluntary Long-Term                        Guardian
                    Disability
                       Accident                           Guardian

P5
AGE
                         H.S.A                           H.S.A Bank
City Council Administrative Aides 2020-2021
MEDICAL PLAN

            K E Y T E R M S TO R E M E M B E R

A N N UA L D E D U C T I B L E                                          O U T - O F P O C K E T MAXIMUM

T h e a m o u n t y o u h a v e to p a y e a c h year b efo r e th e    This is th e total a m o u n t y o u c a n p a y o u t of p o c k e t
plan star ts p a y i n g a portion of m e d i c a l exp en ses.         e a c h c alen d ar year b efo r e th e plan p a y s 100
All family m e m b e r s ’ e x p e n s e s that c o u n t to war d      p e r c en t of c o v e r e d e x p e n s e s for th e rest of th e
a health plan d e d u c t i b l e a c c u m u l a t e t o g e t h e r   c alen d ar year. M o st e x p e n s e s that m e e t provider
in th e a g g r e g a t e ; h o wever , e a c h p er so n also          n etwo r k r eq u ir em en ts c o u n t to war d th e annual
h a s a limit o n their o w n individual a c c u m u l a t e d          o u t - o f - p o c k e t m a x i m u m , in c lu d in g e x p e n s e s p aid
e x p e n s e s (the a m o u n t varies b y plan).                      to th e annual deductible*, c o p a y s a n d
                                                                        coinsurance.
                                                                        * E x c e p t for Gr an d fath ered m e d i c a l p lan s

C O PAY S A N D C O I N S U R A N C E                                   PLAN TYPES

T h e s e e x p e n s e s are your sh ar e of c o s t p aid for         •    E P O / P P O – A network of d o c t o r s , hospitals,
health care service. Copays are fixed dollar                                 a n d other health c a r e providers
am o u n ts, a n d are usually d u e at th e t i m e y o u              •    H M O – A n e t w o r k that requires y o u to s e l e c t
r ec eive care. C o i n s u r a n c e is your sh ar e of th e                a P r i m a r y C a r e Physician ( P C P ) w h o
allo wed a m o u n t c h a r g e d for a ser vic e, a n d is                 c o o r d i n a t e s your health c a r e
gen er ally billed to y o u after th e health in su r an c e            •    H D H P – A plan that h a s h i g h e r annual
c o m p a n y r eco n c iles th e bill with th e providers.                  d e d u c t i b l e s in e x c h a n g e for lower p r e m i u m s ;
                                                                             a n H S A is an HDHP
                                                                        •    H M O a n d E P O p l a n s d o n o t offer o u t -
                                                                             network benefits.

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City Council Administrative Aides                                                                              Benefits Guide
City Council Administrative Aides 2020-2021
S U M M A RY O F C O V E R A G E
& R AT E S

   Plan Features                   HDHP              BASE HMO*               BASE PPO            BUY-UP PPO

                                    F8DH                  581A                   B57BA                 2883

        IN NETWORK            Blue Choice PPO        Blue Essentials       Blue Choice PPO      Blue Choice PPO
        Calendar Year
       Deductibles (Indiv /    $2800 / $5600         $2500 / $7500          $2500 / $7500         $1000 / $3000
           Family)
      Calendar Year
  Out-of-Pocket Max (Indiv     $5600 / $11,200       $7500 / $15,800        $5500 / $14,700       $4000 / $8000
          / Family)
      Co-Insurance                  20%                   20%                    30%                   20%
       Primary Care Visit     Deductible & Coins           $35                   $35                   $30
         Specialist Visit     Deductible & Coins           $70                   $70                   $60
 TeleMedicine/Virtual Visit        $44 cost                $35                   $35                   $30
  Routine Lab & X-Rays        Deductible & Coins    Deductible & Coins    Deductible & Coins     included in copay

       Complex Images         Deductible & Coins    Deductible & Coins    Deductible & Coins    Deductible & Coins

   Outpatient Procedure       Deductible & Coins    Deductible & Coins    Deductible & Coins    Deductible & Coins

         Inpatient Visit      Deductible & Coins    Deductible & Coins    Deductible & Coins    Deductible & Coins
                                                     $500 copay then       $500 copay then       $500 copay then
       Emergency Room         Deductible & Coins
                                                    Deductible & Coins   deductible then Coins deductible then Coins
          Urgent Care         Deductible & Coins          $75                   $75                    $75
    Preferred Pharmacy                               $0/$10/$50/$100       $0/$10/$50/$100        $0/$10/$50/$100
                            After deductible:Tier
  Participating Pharmacy                            $10/$20/$70/$120      $10/$20/$70/$120       $10/$20/$70/$120
                              1 & 2 90%;Tier 3
      Mail Order (90)                               $0/$30/$150/$300      $0/$30/$150/$300       $0/$30/$150/$300
                              80%; Tier 4 70%
  Speciality Mail Order(30)                             $150/$250             $150/$250              $150/$250
                             See Summary of                               See Summary of         See Summary of
  OUT OF NETWORK                  Benefits
                                                      Not Covered
                                                                              Benefits               Benefits
                                 *Requires a Primary Care Physician to be selected
   MONTHLY COST

          Employee                 $45.00                $85.00                $138.81               $177.00

  Employee + Spouse                $153.60               $229.48               $319.26               $616.44

 Employee + Child(ren)             $123.51               $181.84               $249.86               $496.22

   Employee + Family               $201.75              $305.72                $430.31               $808.79

        7                                     MEDICAL PLAN
PAGE

City Council Administrative Aides                                                                              Benefits Guide
City Council Administrative Aides 2020-2021
MEDICAL PLAN

Understanding the full value of covered benefits allows you to take responsibility
for maintaining good health and incorporating healthy habits into your lifestyle.
Some examples include getting regular physical examinations, mammograms and
immunizations. Through the plans offered, all covered individuals and family
members are eligible to receive routine wellness services like these, at no cost; all
copays, coinsurance, and deductibles are waived.

WHICH PREVENTIVE CA RE SERVICES ARE COVERED?

Below is a list of com m on services that
are included in the plans offered this year:

•      Routine Physical Exam
•      W ell Baby and Child Care
•      W ell W oman Visits
•      Immunizations
•      Routine Bone Density Test
•      Routine Breast Exam
•      Routine Gynecological Exam
•      Screening for Gestational Diabetes
•      Routine Digital Rectal Exam
•      Routine Colorectal Cancer Screening
•      Routine Prostate Test
•      Routine Lab Procedures
•      Routine Mammograms
•      Routine Pap Smear
•      Smoking Cessation Programs
•      Testing for HPV and HIV
•      Routine Colonoscopy

                                            “AN OUNCE OF PREVENTION IS
                                            WORTH A POUND OFCURE”

        8
                                            - Benjamin Franklin
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City Council Administrative Aides                                        Benefits Guide
City Council Administrative Aides 2020-2021
D E N TA L P L A N

                                S U M M A RY O F C O V E R A G E & R AT E S

             Plan Features                                  Guardian

                                               DHMO                               PPO

               In Network                   Managed Care                NAP                  VALUE

   Calendar Year Maximum Benefits             Unlimited            $1,000                    $1,000

   Annual Deductible (Individual /              None              $50 / $150               $50 / $150
   Family)
   Class I – Diagnostic/Preventive           Fee Schedule
   Services                                                            100%                   100%

   Class II – Basic Services                 Fee Schedule               80%                   100%

   Class III – Major Services                Fee Schedule               50%                   60%

   Lifetime Orthodontic Maximum                 None                   $1,000                $1,000
   (per person)
   Out of Network Reimbursement                 None              UCR 90%                  Fee Schedule
   Reimbursement
   Monthly Cost

   Employee                                     $12.25                            $30.63

   Employee + Spouse                            $21.03                            $66.44

   Employee + Child(ren)                       $28.12                             $89.27

   Employee + Family                           $32.78                            $128.70

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City Council Administrative Aides                                             Benefits Guide
D E N TA L P L A N

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City Council Administrative Aides   Benefits Guide
VISION PLAN

S U M M A RY O F C O V E R A G E & R AT E S
              Plan Features                           Vision Plan

                IN NETWORK

Vision Exam                                             $10 copay

Lenses
  Single                                                No copay
  Bifocal                                               No copay
  Trifocal                                              No copay
  Progressive                              $50 allowance, plus 20% off retail
Frames                                              100% after copay
Elective Contact Lenses               Up to $130 allowance / Up to $150 retail value
Medically Necessary Contact Lenses                    Covered in full
Frequency (Months)
  Exam                                                  12 Months
  Lenses or Contact Lenses                              12 Months
  Frames                                               24 Months
          OUT OF NETWORK
Vision Exam                                            Up to $35.00
Lenses
  Single                                               Up to $25.00
  Bifocal                                              Up to $40.00
  Trifocal                                             Up to $50.00
Frames                                                 Up to $45.00
Elective Contact Lenses                                  $130.00
Medically Necessary Contact Lenses                       $250.00
Monthly Cost
Employee                                                  $7.58
Employee + Spouse                                        $13.26
Employee + Child(ren)                                    $13.26
Employee + Family                                        $19.71

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City Council Administrative Aides                                       Benefits Guide
VISION PLAN

P
AGE
    12
City Council Administrative Aides                  Benefits Guide

City Council Administrative Aides Benefits Guide       www.thebankofsa.com
B A S I C L I F E / AD &D

Plan Features                             Basic Life AD&D

Employee Benefit Amount                       $15,000
                                                                     S U M M A RY O F C O V E R A G E
AD&D Benefit Amount                           $15,000
                                                                     The Basic Life/AD&D (Accidental Death
The following shows how much benefits are reduced at certain ages:
                                                                     & Dismemberment) is a term life policy
           Age Band                      Benefit Reduction           that is 100% EMPLOYER-paid. You will
                65                              35%                  be automatically enrolled in this benefit.
                70                              60%

                                         VO LU N TA RY L I F E
                                         The Voluntary Life/AD&D (Accidental Death
                                         and Dismemberment) is also a term life
                                         policy that is 100% EMPLOYEE-paid. Rates
                                         are based on age. Maximum: 5 times annual
                                         salary or $300,000; Guaranteed issue
                                         amount of $150,000 for employee and
                                         $25,000 for spouse.

                                      Plan Features                               Voluntary Basic Life AD&D

                                                                       Employees can choose different amounts of coverage
                                      Employee Benefit Amount          between the minimum and maximum benefit amount.
                                                                            See plan documentation for more details.

                                      Minimum Benefit Amount                                $10,000

                                                                      $300,000, in increments of $10,000, but not more than
                                      Maximum Benefit Amount                            5X’s annual salary

                                                                                       5 X’s annual salary,
                                      Guarantee Issue Amount                             up t o $150,000

                                                                        Minimum Benefit $5,000 100% of EE Benefit up t o

          13
                                      Spouse Benefit                      $150,000 - Increments of $5,000 GI $25,000
   PAGE

                                                                        Minimum Benefit $5,000 Max Benefit $10,000 GI
                                      Dependent Benefit                                    $10,000

    City Council Administrative Aides                                                             Benefits Guide
DISABILITY PL A N
         SHORT TERM

                                S U M M A RY O F C O V E R A G E

                                The Short-Term Disability is a disability policy that is 100%
                                EMPLOYER-paid. You have the option to enroll in this benefit
                                which will equal 70% of your weekly income that starts after
                                a 14-day elimination period.

Plan Features

                                                                70% weekly earnings,
Employee Benefit A m o u n t       n o t t o exceed plan m axim um weekly benefit or less other income sources

Maximum Benefit A m o u n t                                          $1,000

Elimination Period                                                  15th day
(Acc ident)

Elimination Period (Sickness)                                       15th day

Benefit Duration                                                    11 weeks

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City Council Administrative Aides                                                      Benefits Guide
DISABILITY PLAN
V O L U N TA R Y L O N G T E R M

                            S U M M A RY O F C O V E R A G E

                            The Long-Term Disability is a disability policy that is 100%
                            Employee-paid. You will have the option to enroll in this
                            benefit which will equal 60% of your monthly income that starts
                            after 9 0 days. Maximum: $5,000/month

            Plan Features

       Employee Benefit Am ount                       60% m onthly salary

       Maximum Benefit Am ount                             $5,000

       Elimination Period                                  9 0 days

       Benefit Duration                                    To SSRD

       15
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City Council Administrative Aides                                           Benefits Guide
ACCIDENT
                            SUMMARY OF COVERAGE
                            The Voluntary Accident is an insurance policy that is 100% EMPLOYER-paid
                            for employee only. This insurance offers financial protection by paying a cash
                            benefit if you or an insured dependent are injured as a result of a covered
                            accident.

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City Council Administrative Aides                                               Benefits Guide
H E A LT H S A V I N G S A C C O U N T ( H S A )
                                 For 2020 - 2021, you are offered a policy that includes a health
                                 savings account (HSA).
                                 This is how an HSA works:
                                 A health savings account (HSA) is a health care account and savings
                                 account in one. The main purpose of this account is t o offset the cost of
                                 a qualifying high deductible health plan (HDHP) and provide savings for
                                 your out-of-pocket eligible health care expenses – those you and your
                                 tax dependents may have now, in the future, and during your retirement.

                                 This is a “portable” account. You own your HSA! It’s included in your
                                 employee benefits package, but after you set up your account, it’s yours
                                 t o keep, even if you change jobs or retire.

                             Once your HSA is established, money is contributed t o your account by
                             you or friends and family, and you can then use your HSA dollars tax-
                             free t o pay for eligible health care expenses. You save money on
                             expenses you’re already paying for, like doctors’ office visits,
                             prescription drugs, and much more. Best of all, you decide how and
                             when t o use your HSA dollars.
                             The 2020 HSA contribution limit is: $3,500 for Individuals, $7,000 for
                             Family, and an over 50 catch-up addition of $1,000.

   W H Y I S IT A G O O D I D E A TO H AV E A N H S A?
   HSAs benefit everyone who is eligible to have this account – single individuals,
   families, and soon-to-be retirees. You save money on taxes in three ways:

    Tax - f ree d ep o s i t s
   The money you contribute to
                                    1              Tax - f ree ear n i n gs
                                               Your interest and any
                                                                              2   Tax-free Withdrawls
                                                                                  Money used toward eligible
                                                                                                                 3
   your HSA isn’t taxed (up to                 investment earnings grow           health care expenses isn’t
   the IRS annual limit)                       tax-free                           taxed – now or in the future

  You save money on eligible expenses that you are paying for out of your pocket. The amount you save

  21
  depends on your tax bracket. For example, if you are in the 3 0 percent tax bracket, you can save $30
  on every $100 spent on eligible health care expenses.
  HSA funds roll over from year to year and accumulate in your account. There is no “use-it-or-lose-it”
P rule with HSAs, and you decide how and when to use your HSA funds, which can be used for eligible
AGE
  expenses you have now, in the future, or during retirement. And when you have a certain balance in
  your HSA, investment opportunities are available.
   Refer to your HSA documentation for more information.

City Council Administrative Aides Benefits Guide                                                  www.thebankofsa.com
B L U E 36 5
                               Blue365 is just one more advantage you have by being a Blue Cross and Blue Shield of
                               Texas (BCBSTX) member. With this program, you may save money on health and
                               wellness products and services from top retailers that are not covered by insurance.
                               There are no claims to file and no referrals or preauthorizations.

Once you sign up for Blue365 at blue365deals.com/bcbstx, weekly “Featured Deals” will be emailed to you. These
deals offer special savings for a short period of time.
                          Below are some of the ongoing deals offered through Blue365.
   EyeMed | Davis Vision                                      Dental SolutionsSM
   You can save on eye exams, eyeglasses, contact             You could get dental savings with Dental Solutions. You
   lenses and accessories. You have access to national        may receive a dental discount card that provides access to
   and regional retail stores and local eye doctors.          discounts of up to 50% at more than 70,000 dentists and
   You may also get possible savings on laser vision          more than 254,000 locations.*
   correction.
  TruHearing® | Beltone™ | American Hearing                   Jenny Craig® | Sun Basket | Nutrisystem®
  You could get savings on hearing tests, evaluations         Help reach your weight loss goals with savings from leading
  and hearing aids. Discounts may also be available           programs. You may save on healthy meals, membership
  for your immediate family members.                          fees (where applicable), nutritional products and services.

  Fitbit®                                                   Reebok | SKECHERS®
  You can customize your workout routine with               Reebok, a trusted brand for more than 100 years, makes
  Fitbit’s family of trackers and smartwatches that         top athletic equipment for all people, from professional
  can be employed seamlessly with your lifestyle,           athletes to kids playing soccer. Get 20% off select models.
  your budget and your goals. You’ll get a 20%              SKECHERS, an award-winning leader in the footwear
  discount on Fitbit devices plus free shipping.            industry, offers exclusive pricing on select men’s and
                                                            women’s styles. You can get 30% off plus free shipping for
   InVite® Health                                           your online orders.
   InVite Health offers quality vitamins and
                                                            Livekick
   supplements, educational resources and a team
                                                            Livekick is the future of private fitness. Choose from
   of healthcare experts for guidance to select the
                                                            training or yoga over live video with a private coach. Get fit
   correct product at the best value. Get 50% off
                                                            and feel healthier with action-packed 30-minute sessions
   the retail price of non-genetically modified
                                                            that you can do from home, your gym or your hotel while
   microorganism (non-GMO) vitamins and
                                                            traveling. Get a free two-week trial and 20% off a monthly
   supplements and a free Midnight Bright Black
                                                            plan on any Live Online Personal Training.
   Coconut Charcoal Tooth Polish with a $25
   purchase.
                                                             eMindful
                                                             Get a 25% discount on any of eMindful’s live streaming or
                                                             recorded premium courses. Apply mindfulness to your
                                                             life including stress reduction, mindful eating, chronic

           18
                                                             pain management, yoga, Qigong movements and more.
    PAGE

                          See all the Blue365 deals and learn more at blue365deals.com/bcbstx.

     City Council Administrative Aides                                                 Benefits Guide
Blue Access for Members
                                    Blue Cross and Blue Shield of Texas (BCBSTX) helps you get the
                                    most out of your health care benefits with Blue Access for
                                    Members (BAMSM). You and all covered dependents, age 18
                                    and up, can create a BAM account.
                               With BAM, you can:
 Use our Provider Finder® tool to search for a health care provider, hospital or pharmacy

 Check the status or history of a claim

 View or print Explanation of Benefits statements
 Request or print your ID card
 Sign up for text or email alerts
 Use our Cost Estimator tool to find the price of hundreds of tests, treatments and procedures
                             It’s Easy to Get Started!
                             1 Go to bcbstx.com/member
                             2 Click Log Into My Account
                             3 Use the information on your BCBSTX ID card to sign up

                                            The BCBSTX App!
Stay connected with Blue Cross and Blue Shield of Texas (BCBSTX) and access important health benefit
                                   information wherever you are.
  Find an in-network doctor, hospital or urgent care facility                   Access your claims, coverage and deductible information

 View and email your member ID card                                                                         Log in securely with your fingerprint
  Access Health Care Accounts and Health Savings Accounts
                                                                                         Download and share your Explanation of Benefits*
 Get Push Notifications and access to Message Center*

                         Text** BCBSTXAPP to 33633 to get the app.

              19
                                     Currently only available on iPhone®. iPhone is a registered trademark of Apple Inc.
       PAGE

                                      ** Message and data rates may apply. Terms and conditions and privacy policy
                                                  at bcbstx.com/mobile/text-messaging.

       City Council Administrative Aides                                                                                   Benefits Guide
Vir tua l
Vis its

Getting sick after hours or on weekends used to mean a lengthy, costly trip to the emergency room or urgent care center.
But with your virtual visits benefit, provided by Blue Cross and Blue Shield of Texas (BCBSTX) and powered by MDLIVE,
the doctor is in 24/7/365. And you don’t have to leave the comfort of your own home.
     Virtual visits allow you to consult a doctor for non-emergency situations by phone, mobile app or online video
     anytime, anywhere. Speak to a doctor or schedule an appointment at a time that works best for you.

With virtual visits, you get: 24/7 access to an independently contracted, board-certified doctor
                                    Access via online video, mobile app or telephone
                                    If necessary, e-prescription sent to your local pharmacy

 Virtual visits doctors can treat a variety of health conditions, including:
    Allergies     Asthma           Cold/flu         Ear problems (age 12+)      Fever (age 3+)

    Nausea        Pink eye          Rash                Sinus infections
 Talk Therapy
 Speak with a licensed counselor, therapist or psychiatrist for support with virtual visits, available by appointment. You
 can choose who you want to work with for issues such as anxiety, depression, trauma and loss or relationship problems.
                               Activate your account or schedule a virtual visit
Go to Blue Access for   Download the MDLIVE app                                    Text BCBSTX to 635-483.
MembersSM or            from Apple’s App StoreSM or Call MDLIVE at (888) 680-8646. (MDLIVE’s online assistant Sophie
MDLIVE.com/bcbstx.      Google PlayTM.                                             will help you activate your account.)

                                                  Get connected today!
                        To register, you’ll need to provide your BCBSTX member ID number.

             20
      PAGE

      City Council Administrative Aides                                                          Benefits Guide
Healthy Pregnancy
                                       Perinatal Wellness Guidelines
                                                                      Routine recommendations for a healthy pregnancy
                           First Prenatal Visit
                           Your health care provider* will evaluate your personal health and family history to plan the best care for
Before Pregnancy:          you and your new baby. The first visit is usually the longest, so be prepared. You may be asked about:
It is important to
                               The date of your last menstrual period to help predict when your baby will be born
make healthy choices.
                               Health problems like diabetes, high blood pressure or sexually transmitted disease
Keep an ideal weight           Past pregnancies and any complications
and a healthy lifestyle.       Previous hospital admissions
                              Current medicines, allergies to medicines and foods
Visit your health care        Vaccination history
provider for a checkup        Whether you drink alcohol, use tobacco, or recreational drugs
before becoming               Your diet and eating habits and how much you exercise
pregnant.                     Stress in your life
                              How safe you feel in your current living arrangements
                              Health history of the baby’s father and your family history
                           Your health care provider will also examine you, do some tests and offer advice. He or she may:
                              Check your height, weight and blood pressure
                              Perform a physical exam, including a pelvic exam
                              Take a urine and blood sample for analysis
                              Prescribe prenatal vitamins
                              Give recommended vaccinations including, but not limited, to Tdap and influenza
                              Provide education about what to expect during your pregnancy

   Later Prenatal Visits:
   Follow-up visits usually take less time. Your health care provider may also:
       Check your blood pressure Check your hands, feet and face for swelling Listen to the baby’s heartbeat (beginning as early as week nine)

       Perform an ultrasound (usually at weeks 18 to 20)     Measure the size of your uterus              Ask about the baby’s movement
  Normally, you will see your health care provider every four weeks for the first 28 weeks of pregnancy, then every two weeks until 36 weeks of
  pregnancy, and then weekly until your baby is born. Talk with your health care provider and bring a list of questions to every visit.

    After Giving Birth:
    If you have had a C-section, you may have two follow-up visits at two and six weeks. It is important to follow up with your
    health care provider about six weeks after the delivery at which time he or she:
                                           Will do an examination                     May do follow-up testing, if needed
                                            May give vaccinations, as needed          May ask about breastfeeding
                                      You may also be asked if you are feeling low, have lost interest in usual activities, have
                                      difficulty caring for your baby, or have difficulty concentrating, focusing or making decisions.

                                    Depending on your health and the health of your unborn baby, your health care provider may wish to see you more often
                                    and do additional testing.

               21
                                    The recommendations are based on information from The American College of Obstetricians and Gynecologists. The
                                    recommendations are not intended as medical advice nor meant to be a substitute for the individual medical judgment
                                    of a health care provider. Please check with your health care provider for individualized advice on the
        PAGE

                                    recommendations provided.
                                    Source: Guidelines for Perinatal Care, Seventh Edition, American Academy of Pediatrics and The American
                                    College of Obstetricians and Gynecologists

         City Council Administrative Aides                                                                            Benefits Guide
A He a lthie r Yo u                                                                          Well On Target
                             Make Your Fitness Program Membership Work for You!
  Fitness can be easy, fun and affordable. Well On Target makes it possible with the Fitness Program.

Since you are a Blue Cross and Blue Shield of Texas member, the Fitness Program is available exclusively to you and your
covered dependents (age 18 and older). The program gives you unlimited access to a nationwide network of more than 10,000
fitness locations. If you want, you can choose one location close to home and one near work. You can visit locations while you’re
on vacation or traveling for work.
Other program perks include:
No long-term contract: Membership is month to month. Monthly fees are $25 per month per member, with a one-time
enrollment fee of $25 per member.*
Blue PointsSM: Get 2,500 points for joining the Fitness Program. Earn additional points for weekly visits. You can redeem
points for apparel, books, electronics, health and personal care items, music and sporting goods.**
Complementary and Alternative Medicine (CAM) discounts: Save money through a nationwide network of 40,000 health and
well-being providers, such as acupuncturists, massage therapists and personal trainers.
Web resources: You can go online to find fitness locations and track your visits.
Convenient payment: Monthly fees are paid via automatic credit card or bank account withdrawals.

            ARE YOU READY FOR FITNESS? It’s easy to sign up:

    1. Go to bcbstx.com and log in to Blue Access for MembersSM.
    2. Under “Quick Links,” choose “Fitness Program.” On this page, you can enroll, search for nearby fitness locations and
    learn more about the program.
    3. Click “Enroll Now.” Then search and select the fitness location that is best for you. Remember, you can visit any
    participating fitness location after you sign up.
     4. Verify your personal information and method of payment. Print or download your Fitness Program membership
    ID card. You may also request to receive the ID card in the mail.
     5. Visit a fitness location today!
              Prefer to sign up by phone or have questions about the Fitness Program? Just call the toll-free number
                                     888-762-BLUE (2583) Monday through Friday, between
                                          7 a.m. and 7 p.m. CT (6 a.m. and 6 p.m. MT).

                    The Fitness Program is provided by Tivity HealthTM, an independent contractor that administers the Prime Network of fitness
                   locations. The Prime Network is made up of independently owned and operated fitness locations.

                                          Taxes may apply. Individuals must be at least 18 years old to purchase a membership.

            22
                                   ** Member agrees to comply with all applicable federal, state and local
     PAGE

                                  laws, including making all disclosures and paying all taxes with respect to their receipt of any reward.
                                  Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget
                                 Member Wellness Portal for more information.

      City Council Administrative Aides                                                                               Benefits Guide
Adult Wellness Guidelines
                                       Making Preventive Care a Priority
 Adult Health – for                                                               Screenings
                                              Weight                        Every visit or at least annually
 ages 18 and over
                                             Body Mass Index (BMI)          Every visit or at least annually
Preventive care is very
important for adults.                        Blood Pressure (BP)            Every visit or at least annually
By making some good                                                      Adults age 50-75 for colorectal cancer using: • Guaiac Fecal Occult
basic health choices,                                                    Blood Test (gFOBT) annually or; • Fecal Immunochemical Testing
women and men can                                                        (FIT) annually or; • Fecal Immunochemical Testing (FIT)-DNA
boost their own health                                                   every 1-3 years or; • Flexible sigmoidoscopy every 5 years or;
and well-being. Some                         Colon Cancer Screening      Flexible sigmoidoscopy every 10 years with FIT annually or;
of these positive                                                        Colonoscopy every 10 years or; • CT Colonography every 5 years**
choices include:                                                         Ages 45 to 49 should discuss the risks and benefits of screening with
Eat a healthy diet                                                       your health care provider*
Get regular exercise                                                     Those with high blood pressure should be screened. Those who are
Don’t use tobacco                            Diabetes Screening          overweight or have cardiovascular risk factors should be screened.
Limit alcohol use                                                        All others should be screened starting at age 45.**
Strive for a healthy weight                                              Once for adults born between 1945 and 1965 and persons at high
                                             Hepatitis C (HCV) Screening
                                                                         risk for infection
                                             HIV Screening               Adults ages 18 to 65, older adults at increased risk and all pregnant
 Men’s                                                                   women should be screened
 Recommendations                                                    Immunizations (Vaccines)
Cholesterol                         Tetanus Diphtheria Pertussis (Td/Tdap) Get Tdap vaccine once, then a Td booster every 10 years
  Men age 35 and older should be Influenza (Flu) Herpes Zoster             Yearly
  screened. Men age 20-35 should (Shingles)                                Two doses of RZV starting at age 50, or one dose of ZVL at age 60
  be screened if they are at                                               or over. Discuss your options with your health care provider.*
  increased risk for coronary heart Varicella (Chicken Pox)                2 doses if no evidence of immunity
  disease. Talk with your health                                           Ages 65 and over, one dose of PCV 13 and one dose of PCV 23 at
  care provider about the starting   Pneumococcal (Pneumonia) Measles, least one year after PCV 13**
  and frequency of screening that
                                    Mumps, Rubella (MMR)                   1 or 2 doses for adults born in 1957 or later who have no evidence of
  is best for you.
                                                                           immunity
Prostate Cancer Screening
 Discuss the benefits and risks                                    Women’s Recommendations
 of screening with your health
                                                                            At least every 2 years for women ages 50 to 74 Ages 40 to 49 should
 care provider.                                  Mammogram                  discuss the risks and benefits of screening with their health care
Abdominal Aortic Aneurysm
                                                                            provider
  Have an ultrasound once                                                   Women age 45 and older. Women age 20-45 should be screened if
  between ages 65 to 75 if                                                  theyare at increased risk for coronary heart disease. Talk with your
  you have ever smoked.                          Cholesterol
                                                                            health care provider about the starting and frequency of screening
Low-dose Aspirin Use                                                        that is best for you.
 Ages 50-59 talk with your
 health care provider about                                                Women ages 21 to 65: Pap test every 3 years
 low-dose aspirin use for the                    Cervical Cancer Screening Another option for ages 30 to 65: Pap test with HPV test every 5
                                                                           years. Women who have had a hysterectomy or are over age 65 may
 prevention of cardiovascular                                              not need a Pap test*
 disease and colorectal cancer.                                            Beginning at age 65, at age 60 if risk factors are present or

               23
                                                 Osteoporosis Screening    postmenopausal women younger than 65 years who are at increased
                                                                           risk of osteoporosis*
        PAGE

                                                                            Ages 50-59 talk with your health care provider about low-dose
                                                 Low-dose Aspirin Use       aspirin use for the prevention of cardiovascular disease and
                                                                            colorectal cancer.

        City Council Administrative Aides                                                                       Benefits Guide
CONTACTS
                                                  I
           Carrier Name                       Website                            Phone Number

                                           www.bcbstx.com                         (800) 521-2227

                                       www.Guardian.com                          (800) 541-7846

                                           www.Avesis.com                        (855) 214-6777

       Broker Contact      Position                            Email                      Phone Number

       Brian Clendening   Broker / Agent                jbclendening@gmail.com             (210) 365-3162

       24
PAGE

City Council Administrative Aides                                                      Benefits Guide
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